2011
DOI: 10.1097/dcr.0b013e31821c4b95
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Low Rectal Cancer: Abdominoperineal Resection or Low Hartmann Resection? A Postoperative Outcome Analysis

Abstract: In our series, low Hartmann resection was associated with higher pelvic abscess, reoperation, and readmission rates. These findings suggest that in patients with rectal cancer without sphincter infiltration and who are unsuitable for coloanal anastomosis, abdominoperineal resection should be a valid alternative to low Hartmann resection.

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Cited by 45 publications
(56 citation statements)
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“…the overall rate of intra-abdominal abscess in the present study was 6.7%, which is low compared with the few cohort series reporting on similar outcome parameters, like pelvic sepsis, pelvic abscess, or organ space infection, with percentages ranging between 12% and 19% after hP. 6,16,19,20 this can be explained by the fact that only intra-abdominal abscess requiring reintervention during initial admission is registered in the DsCa. abscesses that were manually drained through the anus on the ward or those that were diagnosed during readmission were not included.…”
Section: Discussioncontrasting
confidence: 79%
See 1 more Smart Citation
“…the overall rate of intra-abdominal abscess in the present study was 6.7%, which is low compared with the few cohort series reporting on similar outcome parameters, like pelvic sepsis, pelvic abscess, or organ space infection, with percentages ranging between 12% and 19% after hP. 6,16,19,20 this can be explained by the fact that only intra-abdominal abscess requiring reintervention during initial admission is registered in the DsCa. abscesses that were manually drained through the anus on the ward or those that were diagnosed during readmission were not included.…”
Section: Discussioncontrasting
confidence: 79%
“…hP has been associated with a relatively high risk of pelvic sepsis in literature, 6,16,19,20 probably related to postoperative dehiscence of the short rectal stump. the overall rate of intra-abdominal abscess in the present study was 6.7%, which is low compared with the few cohort series reporting on similar outcome parameters, like pelvic sepsis, pelvic abscess, or organ space infection, with percentages ranging between 12% and 19% after hP.…”
Section: Discussionmentioning
confidence: 98%
“…This retrospective study on HP in a recent setting indicates that pelvic sepsis is less common than was described in historic materials [2, 5, 6]. We also recognized that preoperative RT and Hinchey grade III and IV, i.e., purulent and feculent peritonitis, associated with perforated diverticular disease may be risk factors for pelvic sepsis.…”
Section: Discussionmentioning
confidence: 97%
“…Ultralow HP, where transection is performed above the anal canal, has been compared to abdominoperineal excision (APE). The advantages with HP are shorter operating time, less surgical trauma, and avoidance of a perineal wound [4, 5]. The disadvantage with HP is the high proportion (12–32%) of pelvic abscesses and sepsis [2, 5, 6].…”
Section: Introductionmentioning
confidence: 99%
“…Although the complication rate after HP is reported to be lower, the risk of pelvic abscesses as a consequence of either an infected haematoma or a blowout of the rectal remnant should not be ignored. The incidence varies from 3 to 30% [18, 3537]. HP has also been advocated in the palliative setting as an alternative for patients with disseminated disease, where the benefits of symptomatic relief must exceed the risk of morbidity or mortality [17, 19, 31, 36, 38].…”
Section: Discussionmentioning
confidence: 99%